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Home My WebLink AboutContract 57312-FP1 FORT WORTH. '*44 TRANSPORTATION AND PUBLIC WORKS NOTICE OF PROJECT COMPLETION City Secretary No: 57312 -FPI Date Received: 1/25/2023 City Project Nu:103444 Regarding contract 57312 for Concrete Restoration 3 as required by the TRANSPORTATION AND PUBLIC WORKS DEPARTMENT as approved by City Council on 03/08/2022 through M&C 22-0148 the director of the TRANSPORTATION AND PUBLIC WORKS DEPARTMENT upon the recommendation of the Assistant Director ofthe Transportation&Public Works Department has accepted the project as complete, Original Contract Prices: $1,061,590.00 Amount of Approved Change Orders: $0.00 Ne Revised Contract Amount: $1,061,590.00 Total Cost Work Completed: $1,028,910.99 Less Deductions: Liquidated Damages: 0 Days©$650.00/Day Pavement Deficiencies: Total Deduction Amount: $0.00 Total Cost Work Completed: $1,028,910.99 Less Previous Payments: $977,465.44 Final Payment Due $51,445.55 Jan 21, 2023 Recommended for Acceptance Date Asst. Director, TPW - Capital Delivery °-�--� Jan 21 2023 a en P ie (Jan 21,202320:52 CST) 7 Accepted Date Director, TRANSPORTATION AND PUBLIC WORKS DEPARTMENT Client Department Li; a� Jan 24 2023 William Johnson(Ja 4.202315:40CST) Asst, City Manager Date Comments: OFFICIAL RECORD CITY SECRETARY FT.WORTH,TX C-620 Signature Page Contractor's Application for Payment Invoice No. 7-FINAL To(Owner) City of Tort worth Invoicing Period(From-To): Invoice Date: 1 I/l/22-12/28/22 12/28/2022 P.0. Fw020-0000007626 Front(Contractor): Remit to(IfNot Automatic Deposit): Number: Urban bnrraconstmction LLC Project: 103444 Contractors CFW Vendor No: 0000039969 City Secretary Contract Number: 57312 Contract Concrete Restoration 3 Nu Name. Application For Payment Change Order Summar Approved Chnnge Orders 1. ORIGINAL CONTRACT PRICE............................................................. S SI,061,590.00 Nmnbcr Additions Deletions 2.Not change by Change Orders................................................................... S 1 3.Current Contract Price(Line 1 f 2).......................................................... S S1,061,590.00 2 4.TOTAL COMPLETED AND STORED TO DATE 3 (Progress Estimate,Construction Allowance null Change Orders).,...., S S1,028,910.99 4 5.RETAINAGE: 5 n. X $1,028,910.99 WorltCompleted.......... $ 6 b. X Not Used S 7 c.Total Rclninage(Line 5n+Line Sit)................................ S 8 6.AMOUNT ELIGIBLE TO DATE(Line 4-Line 5c).............................. S S1,028,910.99 TOTALS 7. LESS PREVIOUS PAYMENTS(Line 6 front prior Application),,,..... S $977,465.44 i NETCHANGEBY 8.AMOUNT DUE THIS APPLICATION................................................... S S51,445,55 CHANGE ORDERS 19.BALANCE TO FINISH,PLUS RETAINAGE (Column G on Progress Estimate+CA+COs+Line 5 above)............... S S32,679.01 Contmetor'sCertification 10. CONTRACTTIMM Tho Contraclor certifies with the submiunt of this document and associated Payment Request Submittal a. Days Awarded 180 oil the City of Port Worth Buzzsaw,system that to the best of lhoir knowledge:(1)all previous progress It, Days Added by CO payments received from Owner on account of Work done under the Contract have been applied oil C. Total Days 180 account to discharge Contractor's legitimate obligations incurred in connection with Work covered by prior Applications for Payment;(2)title ofall Work,materials and equipment incorporated in sold Work or otherwise listed in or covered by this Application for Payment will pass to Owner at time of d. Days Charged 156 paymont free and clear of all Liens,security interests and cucumbramces(except such as are covered by a Bond acceptable to Owner indemnifying Owner against any such Lions,security interest or c. Days Remaining 24 encumbrances);and(3)all Work covered by this Application for Payment is in accordance with Cite Liquidated Damages$650 x tiny ANup Tam r(Jan 18,202312:30 CST) anav-MynraKar anup 6nnrakar(Jan 9,202316:34 CST) i OFFICIAL RECORD This document has been modified from Its original form as an EJCDC document and the user did not highlight Tile CITY SECRETARY modlftcallons.You are encouraged to read the document carefully and consult Legal Counsel prior to Its execution. FT.WORTH,TX u»annunsyu>nrne•1 Pro{rressFslilnnlc S;yt^n snlz Cm(trnc(or'sAvOicnlion m 4v:n.n Cant It ROS10 Vitt III 11J pn""R"n 7-FINAI, IJr`y%sln:l.l 11111tt-1)1l91it InI.�I.n0-< I1nV 011 A D C ❑ 3 f o 0:1 f.n 1.> wGnIS' ,l, . 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Y �31ll1 n0VN] -09 N)Ol p0O01 1 I14N 4*1 314)IM]0 )l11:!01(Y,1 AlSnl PutrJ /tll ll G t.10) l— INM]100 SMW MCI 31000 SG'A 351JN]I Y/)4'Mhk,fnvrin.V)„wt ES 1 JN.ODI G) SE)<MN - 1NM)P> I it �I I I j I� I i rl_,1 II>,,n..I f..JOn W,ryv�In,nfAA J,vnl^C nll4Y�V•y,MOn >St:J•�>)r1 ,vy,lu,>Il•d ,,,rtry rJn rhl•Ihv,.l1::, c4lou.l A'aFm,/ lra— Progress ES11111A1C $7311 Col lrnclur's Applicallan r..eanm ^'G""•1 concrete ltesturntion 3 7-F1NA1, ATrimt M1i1J I11022.1vivISr Ht4:Jt sw. IL/moll d o 0 0 e r 0 taa LG-1.14usr1 Nanl.4nu>ar nWforI'M a 0.9—.M+1 elllm l:a ItudlLa IteiLeie U:\dni�-u WSPaJO OAM:, oJ\•1n hw 1 \'0� I.dvIJ 4.Jlr1\'�4 rlwnL rmd s..dGa6r1 vA NdgD:+ L (o�q sm nl;, um, el elsuse utvt on leu newel nddpis.lwl.m,oflnJLmun:µllanunFATCdune�nlJ<ua llnrUJl.a1.J+ rd4J4e+rr.r.,r..y,luinlJr/.��-�.e,IJll eJ.nr 11.r10.w.11ri.uauuu.h City of Fort Worth Summary of Charges City Secretary Contract Nun: 57312 Conuele Reslorntion 3 P,C,: FW020-0000007626 Project Number 103,144 Application Period: 11/1/22-12/20122 Application 7-FINAL Application Date: 12/28/2022 Number: Funding Idonllllcollon(PID) II Total Comp)oled I I Amt Romainlnp I Gross ( Rulnlnapo I ( Nal I Original Contract 30100.020043i-5740010-103444-E03300-9999 $1,020.010.99I $32 079.01 o I I o I I o 1 0 0 I I 0 I , 1 0 0 1 0 �I n•r � I 0 I I 1 uni I oChange Order i I I I I I 30100.0200431-574D0104 3444-E3 00-9999 o I I I I 0 ( I I n r 1 c•t p 0 0 I I I 0- 0 o I I I I I 0 I I I I I I Chan a Otdor2 30100-0200431-57400i0403444•E03300-9999 0 I I I I I I o I I I I I I I o 0 1 I I I I I I I I 0 I I I I 1 1 o I I I I o I I I I I 9 I I I I I o I I I I I I �I I • I I i i City of Fort Worth Summary of Charges ' City Secretary ConlrnctNum: 57312 CmlcreleRcs(ornllen3 p,p,; FW020.0000007626 projeclNumbcr-. 103444 ApplicationPariod: 11/1/22-12128/22 Applicnlion 7-FINAL Application Dale: 12/28/2022 Number: Funding ldonlilicalion IFID) I T01a1 Combed I I AmlAomalnln0 I I Gross I Rolalnaoo I I Nul I c Chnnuo Order 30100.0200431.6740010.103444•E03300.399 0 I l o 0 0 I 0 i ;I o 0 I I :r, I n: 0 0 l l ChanOo Ordar4 I 30100-0200431-5740010.103444-E03300-9999 0 I l 111 I I I 0 D I l o I I l I I I o o I I I l o 0 () o 30100.0200431-5740010-1 3444-E03300r9999 0 0 p i 0 I I I I o i "I o I I I l 0 o 0 I I "11I I I I I I I I City of Fort Worth Summary of Charges City Secretary Contract Nun): 57312 ConcreleRestornlion3 p,D•; FW020.0000007626 ]'reject Number: 103444 Application Period: 11/1122-12120/22 Application Number: 7-RINAI. Application Date; 12I2012022 Fundin01den1lllaaUon IFID-) I I Total Complowil I I Anal.Romalnln0 I Gross I ( Relalnafle I I NotCluingir I 30100.0200431-5740010-103444-E03300r909fl 0 I nl 0 ur 0 0 I: l n lTT o I I'll l Ir:, 0 u;11 0 I or 0 0l Chan eOrder7 30100-0200431-5740010-103444-E03300.9999 0 o 0 0 1 0 I �,1 Ana �1: 0 �I<II I 1,1111 1 I I �'Ir,l I 11 'I oo I 1 11 W11 I t 9 I I I I I I I 1 1 30100-0200431--f,740010-103444-E03300.9999 I I I ChanOo Order o 0 I I I o I 1 I 1 o I I I I I l o I I I I I I o I I I I I I111 o I I I I 1 o I 1 I I I City of Fort Worth Summary of Charges City SecrclmyCoulmetNum: 57312 Concrete Restornflon 3 p,p„ FIV020.0000007626 11rojeclNumber. 1034,14 Application Pcdod: ]ip Application122-12/28/22 Nombor: 7-FINAL Application Datc: 12/28/2022 Funding ldonliflcn(lon(FID) ► ( Total Comnlotod I Am(Remaining I I Gross Rolalna o Not Totals 30100.0200431-6740010.103444•[03300.9999 $1,0201910,99 $32.079.01 �I 0 0 I =1T= I 0 0 I i p I I I I nn 0 p I i 0 I I I 0 I I I ....I Grand Total $1,028,910.99 $32,679.01 1 $0.00 ($51,446.65) $51,446.G5 i I� I i I i I RT WORT-H. TRANSPORTATION AND PUBLIC WORKS January 5,2023 Urban Infraconstruction 2512 Gravel Dr. Fort Worth Tx 76118 RE: Acceptance Letter Project Name:2022 Concrete Restoration Contract 3 at Various Location Project Type: 03 City Project No.: 103444 To Whom It May Concern: On September 12,2022 a final inspection was made on the subject project. There were punch list items identified at that time. The punch list items were completed on January 5,2023. The final inspection and the corrected punch list items indicate that the work meets the City of Fort Worth specifications and is therefore accepted by the City. The warranty period will start on January 5,2023,which is the date of the punch list completion and will extend of two (2)years in accordance with the Contract Documents. If you have any questions concerning this letter of acceptance, please feel free to contact me at 817- 392-2373. Sincerely, Tariqul Islam(Jan 20,202310:58 CST) Tariqul Islam, Project Manager Cc: Eric Tinner, Inspector Wade Miller, Inspection Supervisor Ariel Duarte,Senior Inspector Riad Nusrallah, Program Manager N/A,Consultant Urban Infraconstruction,Contractor N/A, Developer File E-Mail: TPW_Acceptance@fortworthtexas.gov OFFICIAL RECORD CITY SECRETARY FT.WORTH,TX Rev.8/20/19 AFFIDAVIT STATE OF Texas COUNTY OF Dallas Before me, the undersigned authority, a notary public in the state and county aforesaid, on this day personally appeared Anup Tamrakar, CEO Of Urban Infraconstruction LLC, known to me to be a credible person, who being by me duly sworn, upon his oath deposed and said; That all persons, firms, associations, corporations, or other organizations furnishing labor and/or materials have been paid in full; That the wage scale established by the City Council in the City of Fort Worth has been paid in full; That there are no claims pending for personal injury and/or property damages; On Contract described as; 2022 Concrete Restoration Contract 3, 103444 BY_ i..., I Tamrakar, CEO Subscribed and sworn before me on this date 18th of January, 2022. ;oRPP"•p 8;-: NILIMAA POUDEL My Notary ID#132586147 E S Dallas County, Texas CONSENT OF OWNER ❑ SURETY COMPANY ARCHITECT ❑ TO FINAL PAYMENT CONTRACTOR ❑ SURETY ❑ AIA DOCUMENT G707 OTHER Bond No. 2331805 PROJECT: 2022 Concrete Restoration Contract 3,City Project no. 103444,Fort Worth,TX (name,address) TO (Owner) [ City of Fort Worth ] ARCHITECT'S PROJECT NO: 200 Texas Street Fort Worth,TX 76102 CONTRACT FOR: [ ] CONTRACT DATE: March 8,2022 CONTRACTOR: Urban Infraconstruction,LLC 526 N.Britain Road Irving,TX 75061 In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above,the (here insert name and address of Surety Company) Swiss Re Corporate Solutions America Insurance Corporation 1200 Main St. Suite 800 , SURETY COMPANY, on bond of(here insert name and address of Contractor) Urban Infraconstruction,LLC 526 N. Britain Road Irving,TX 75061 , CONTRACTOR, hereby approves of the final payment to the Contractors, and agrees that final payment to the Contractor shall not relieve the Surety Company of any of its obligations to(here insert name and address of Owner) City of Fort Worth 200 Texas Street Fort Worth,TX 76102 ,OWNER, as set forth in the said Surety Company's bond. IN WITNESS WHEREOF, the Surety Company has hereunto set its hand this 17th day of January 2Q23 Swiss Re Corporate Solutions America Insurance Surety Company f Signature of Authorized Rep us ntative Attest: 5 __ (Seal): _ Sandra Lee Roney Attorney-In-Fact - Title NOTE: This form is to be used as a coni$41pr document to AIA 1)6Q Jb11r NT_1706,CONTRACTOR'S AFFIDAVIT OF PAYMENT OF DEBTS AND CLAIMS, Current Edition - ' - AIA DOCUMENT G707•CONSENT C�F TRETY CCA .AQ Y Tr)FIN,�&P3YMENT•APRIL 1970 EDITION•AIA® ONE PAGE © 1970•THE AMERICAN INSTITUTET)F,9,2CHITT�CTS;1 i35'Kew Z r&Ave.,NW,WASHINGTON,D.C. 20006 SWISS RE CORPORATE SOLUTIONS SWISS RE CORPORATE SOLUTIONS AMERICA INSURANCE CORPORATION F/K/A NORTH AMERICAN SPECIALTY INSURANCE COMPANY("SRCSAIC") SWISS RE CORPORATE SOLUTIONS PREMIER INSURANCE CORPORATION F/K/A WASHINGTON INTERNATIONAL INSURANCE COMPANY("SRCSPIC") W ESTPORT INSURANCE CORPORATION("WIC') GENERAL POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS,THAT SRCSAIC,a corporation duly organized and existing under laws of the State of Missouri,and having its principal office in the City of Kansas City,Missouri,and SRCSPIC,a corporation organized and existing under the laws of the State of Missouri and having its principal office in the City of Kansas City,Missouri,and WIC,organized under the laws of the State of Missouri,and having its principal office in the City of Kansas City,Missouri,each does hereby make,constitute and appoint: JOHN R.WARD.THOMAS DOUG:LAS MOORE.FMILY ALLISON MIKESKA,ALLYSON W.DEAN,MONICA RUBY VEAZEY, JOHN WILLIAM NEWBY,TROY RUSSELL KEY.DF:BRA LEE MOON,ANDREA ROSE CRAWFORD,SANDRA LEE RONEY, DANA ILENE MOORE AND COLIN E.CONLY JOINTLY or SEVERALLY Its true and lawful Attomey(s)-in-Fact,to make,execute,seal and deliver,for and on its behalf and as its act and deed,bonds or other writings obligatory in the nature of a bond on behalf of each of said Companies,as surety,on contracts of suretyship as are or may be required or permitted by law,regulation,contract or otherwise,provided that no bond or undertaking or contract or suretyship executed under this authority shall exceed the amount of: TWO HUNDRED MILLION($200,000,000.00)DOLLARS This Power of Attorney is granted and is signed by facsimile under and by the authority of the following Resolutions adopted by the Boards of Directors of both SRCSAIC and SRCSPIC at meetings duly called and held on the l8th of November 2021 and WIC by written consent of its Executive Committee dated July 18,2011. "RESOLVED,that any two of the President,any Managing Director,any Senior Vice President,any Vice President,the Secretary or any Assistant Secretary be,and each or any of them hereby is,authorized to execute a Power ofAttomey qualifying the attorney named in the given Power of Attorney to execute on behalf of the Corporation bonds,undertakings and all contracts of surety,and that each or any of them hereby is authorized to attest to the execution of any such Power of Attorney and to attach therein the seal of the Corporation; and it is FURTHER RESOLVED,that the signature of such officers and the seal of the Corporation may be affixed to any such Power ofAttomey or to any certificate relating thereto by facsimile,and any such Power of Attorney or certificate bearing such facsimile signatures or facsimile seal shall be binding upon the Corporation when so affixed and in the future with regard to any bond,undertaking or contract of surety to which it is attached." SQLUTIp " LU7 o"%, Bv ��'C:••G F`'•.�i�Y '.`QQQ;•(�•�O n�i�.•.,p�y Grik Janssens,Senior Vice President of SRCSAIC&Senior Vice President c�,'7L► S E A L a r " y i «n of SRCSPIC&Senior Vice �P"re�si'd'ent of wiC fI "s is•. :.�; qy ,. :. i•'Ss-S'$S�II d.e, By Geraid Ju•ruwski,Vice President ufSRCSAIC&Vice President of SRCSPIC ""ra * 2/S"' ..•d�",, 6 �fSLrialNt " °'�++a„* �""'" &Vice President of WIC IN WITNESS WHEREOF,SRCSAIC,SRCSPIC,and WIC have caused their official seals to be hereunto affixed,and these presents to be signed by their authorized officers this 2nd day of AUGUST 20 22 Swiss Re Corporate Solutions America Insurance Corporation State of Illinois Swiss Re Corporate Solutions Premier Insurance Corporation County of Cook Westport Insurance Corporation On this 2nd day of AUGUST 120 22 before me,a Notary Public personally appeared Erik Janssens,Senior Vice President of SRCSAIC and Senior Vice President of SRCSPIC and Senior Vice President of WIC and Gerald Jaerowski ,Vice President of SRCSAIC and Vice President of SPCSPIC and Vice President of WIC,personally known to me,who being by me duly swom,acknowledged that they signed the above Power ofAttomey as officers of and acknowledged said instrument to be the voluntary act and deed of their respective companies. VitlitiN s..PA"L rr. IJr,7t.nn Yasnun A.Patel,Notary I,Jeffrey Goldberg,the duly.eiectetl Senior Vice President and Assistant Secretary of SRCSAIC and SRCSPIC and WIC,do hereby certify that the above and foregoing is a true and corrcct Copy c£a�Zwcr t f Attorney given by said SRCSAIC and SRCSPIC and WIC,which is still in full force and effect. IN WITNESS WHJQ]tEGF-I-have set-my band and affixed the seals of the Companies this 17i, day of January 2o23. �.. - Z, Jeffrey Goldberg,Senior Vice President& — - = Assistant Secretary of SRCSAIC and SRCSPIC and WIC IMPORTANT NOTICE AVISO IMPORTANTE In order to obtain information or make a complaint: Para obtener informacion o para someter un queja: You may contact Jeffrey Goldberg, Vice President- Puede comunicarse con Jeffrey Goldberg, Vice Claims,at 1-800-338-0753. President-Claims,at 1-800-338-0753. You may call Swiss Re Corporate Solutions Usted Puede llamr at numbro de telefono gratis de America Insurance Corporation or Swiss Re Swiss Re Corporate Solutions America Insurance Corporate Solutions Premier Insurance Corporation o Swiss Re Corporate Solutions Corporation's toll-free number for information or to Premier Insurance Corporation's para informacion o make a complaint at: para somcter una queja at: 1-800-338-0753 1-800-338-0753 You may also write to Swiss Re Corporate Solutions Usted tambien puede escribir a Swiss Re Corporate America Insurance Corporation or Swiss Re Solutions America Insurance Corporation o Swiss Corporate Solutions Premier Insurance Re Corporate Solutions Premier Insurance Corporation at the following address: Corporation at: 1450 American Lane,Suite 1100 1450 American Lane,Suite 1100 Schaumburg,IL 601.73 Schaumburg,.IL 60173 You may contact the Texas Department of Insurance Puede escribir at Departmento de Seguros de Texas to obtain information on companies, coverages, rights para obtener informacion acerca de companias, or complaints at: coberturas, derechos o quejas at: 1-800-252-3439 1-800-252-3439 You may write the Texas Department of Insurance: Puede escribir at Departmento de Seguros de Texas: P.O. Box 149104 P.O.Box 149104 Austin,TX 78714-9104 Austin,TX 78714-9104 Fax: (512)475-1771 Fax: (512)475-1771 Web: http://www.tdi.state.tx.us Web: httn://-tvww.tdi.state.tx.us E-mail:ConsumerProtectionCa,.tdi.state.tx.us E-mail:Co nsumerProtection(a)tdi.state.tx.us PREMIUM OR CLAIM DISPUTES: DISPUTES SOBRE PRIMAS O RECLAMOS: Should you have a dispute concerning your premium or Si tiene una disputa concerniente a su prima o a un about a claim you should first contact the Swiss Re reclamo,debe comunicarse con el Swiss Re Corporate Corporate Solutions America Insurance Solutions America insurance Corporation o Swiss Corporation or Swiss Re Corporate Solutions Re Corporate Solutions Premier Insurance Premier Insurance Corporation. If the dispute is not Corporation primero. Si no se resuetve la disputa, resolved,you may contact the Texas Department of puede entonces comunicarse con el Departmento de Insurance. Seguros de Texas. ATTACH THIS NOTICE TO YOUR POLICY: This UNA ESTE AVISO A SU POLIZA: notice is for information only and does not become a Este aviso es solo para proposito de infromacion y no se part or condition of the attached document. converte en pane o condicion del documento adjunto.